Sugrim Medical Office PLLC

Sugrim Medical Office PLLC was paid $1.03M by Medicaid between Jan 2018 and Oct 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoSUGRIM MEDICAL OFFICE PLLC
SOUTH RICHMOND HILL, NY 11419

33aNPI1659676757assigned 01/20/2011

33bProvider typeFamily Medicine Physician

28Total paid$1.03M

24GClaims48,729

24DCodes billed43

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#124 of 2,605

Median peer was paid$10K

This provider vs. median102×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	4,021	$151K
2019	6,724	$155K
2020	7,548	$136K
2021	9,174	$175K
2022	6,753	$149K
2023	9,161	$161K
2024incomplete	5,348	$99K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	57%	7,755	7,166	$589K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	5,025	4,414	$296K
99490	Ccm add 20min	3.5%	1,704	1,687	$36K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.7%	286	285	$28K
99491	Ccm add 20min	1.1%	178	177	$11K
93000		<1%	665	665	$10K
99401		<1%	343	335	$9K
90658		<1%	546	544	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	552	544	$8K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	78	75	$6K
99402		<1%	201	196	$6K
3074F		<1%	3,290	2,958	$4K

31 more codes

3078F		<1%	3,025	$4K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	356	$3K
3079F		<1%	1,511	$2K
3075F		<1%	862	$2K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	107	$2K
3077F		<1%	524	$910.12
99407		<1%	20	$398.10
3080F		<1%	191	$277.51
82962		<1%	313	$261.61
3044F		<1%	79	$240.00
1159F		<1%	1,087	$195.00
99406		<1%	13	$142.60
1036F		<1%	5,490	$127.65
1160F		<1%	1,036	$107.50
1126F		<1%	75	$0.14
1125F		<1%	35	$0.08
4010F		<1%	1,377	$0.06
3008F		<1%	6,446	$0.05
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	<1%	13	$0.02
2022F		<1%	28	$0.01
4145F		0%	904	$0.00
4013F		0%	2,469	$0.00
3050F		0%	81	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	68	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	28	$0.00
4008F		0%	1,548	$0.00
1034F		0%	284	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	77	$0.00
3017F		0%	16	$0.00
4037F		0%	29	$0.00
3014F		0%	14	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSUGRIM, SURENDRA (OWNER)